| NPI | 1407106529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.1200104-TRNE) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2017-02-22 |